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Aksesuar dalak varyasyonu

Year 2021, Volume: 46 Issue: 3, 1315 - 1317, 30.09.2021
https://doi.org/10.17826/cumj.911687

Abstract

Sol üst kadranda karın boşluğunda fundus gastrica ile diaphragma arasında bulunan kahve çekirdeğine benzeyen dalak vasküler ve lenfatik yapılarla sarılmış bir organdır. Çok kesittli Bilgisayarlı Tomografi abdominal bölgede yerleşim gösteren yapıları görüntülemede oldukça iyi sonuçlar vermektedir. Üriner sistem enfeksiyonu şikayetiyle gelen hastaya abdomen Bilgisayarlı Tomografi (BT) ve laboratuvar tetkikleri yapıldı. BT tetkikinde hastada primer dalak’tan görünüm ve doku olarak çokta farklı olmayan aksesuar dalak varyasyonuna sahip olduğu görüldü. Bu olguda literatürde yer alan aksesuar dalak varyasyonel sınıflandırılmasının dışında farklı bir tip aksesuar dalak varyasyonunun görüntüleme bulgularının incelenmesi amaçlandı.

Supporting Institution

Adana Medline Hastanesi

References

  • HALPERT B, GYORKEY F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol. 1959;32(2):165-168. doi:10.1093/ajcp/32.2.165
  • Porembka MR, Doyle MBM, Chapman WC. Disorders of the spleen. In: Greer J, Foerster J, Rodgers GM, Paraskevas F, eds. Wintrobe’s Clinical Hematology, Philadelphia: Lippincott Williams&Wilkins; 2009: 1637-1655.
  • Mortelé KJ, Mortelé B, Silverman SG. CT features of the accessory spleen [published correction appears in AJR Am J Roentgenol. 2005 Jan;184(1):348]. AJR Am J Roentgenol. 2004;183(6):1653-1657. doi:10.2214/ajr.183.6.01831653
  • Moore KL, Dalley AF. Clinically oriented anatomy. 4th ed. Philadelphia: Lippincott Williams&Wilkins; 1999: 257.
  • Kim MK, Im CM, Oh SH, Kwon DD, Park K, Ryu SB. Unusual persentation of right-side accessory spleen mimicking a retroperitoneal tumor. İnt J Urol. 2008; Aug;15(8):739-40.
  • Bertolotto M, Gioulis E, Ricci C, Turoldo A, Convertino C. Ultrasound and Doppler features of accessory spleens and splenic grafts. Br J Radiol. 1998;71(846):595-600. doi:10.1259/bjr.71.846.9849381
  • Zeman M, Zembala-Nożyńska E, Sczasny J, Strączyński M, Wideł M. Intrapancreatic accessory spleen imitating a pancreatic neoplasm. Pol Przegl Chir. 2011;83(10):568-570. doi:10.2478/v10035-011-0090-9
  • Coote JM, Eyers PS, Walker A, Wells IP. Intra-abdominal bleeding caused by spontaneous rupture of an accessory spleen: the CT findings. Clin Radiol. 1999;54(10):689-691. doi:10.1016/s0009-9260(99)91093-0
  • Pérez Fontán FJ, Soler R, Santos M, Facio I. Accessory spleen torsion: US, CT and MR findings. Eur Radiol. 2001;11(3):509-512. doi:10.1007/s003300000547
  • Eraklis AJ, Filler RM. Splenectomy in childhood: a review of 1413 cases. J Pediatr Surg. 1972;7(4):382-388. doi:10.1016/0022-3468(72)90006-1
  • Beahrs JR, Stephens DH. Enlarged accessory spleens: CT appearance in postsplenectomy patients. AJR Am J Roentgenol. 1980;135(3):483-486. doi:10.2214/ajr.135.3.483
  • Barsness KA, Reynolds M. The spleen. In: Coran AG, Caldamone A, Adzick NS, Krummel TM, Laberge JM, Shamberger R, eds. Pediatric surgery. 7th ed. Philadelphia: Elsevier Saunders; 2012: 1385–1392.
  • Chin S, Isomoto H, Mizuta Y, Wen CY, Shikuwa S, Kohno S. Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol. 2007;13(11):1752-1754. doi:10.3748/wjg.v13.i11.1752
  • Yildiz AE, Ariyurek MO, Karcaaltincaba M. Splenic anomalies of shape, size, and location: pictorial essay. ScientificWorldJournal. 2013;2013:321810. Published 2013 Apr 21. doi:10.1155/2013/321810
  • Varga I, Galfiova P, Adamkov M, et al. Congenital anomalies of the spleen from an embryological point of view. Med Sci Monit. 2009;15(12):RA269-RA276.
  • Churei H, Inoue H, Nakajo M. Intrapancreatic accessory spleen. Abdom Imaging. 1998; 23:191-193.
  • Sels JPJE, Wouters RMME, Lamers R, Wolffenbuttel BHR. Pitfall of the accessory spleen. The Netherlands Journal of Medicine. 2000; 56:153-158.
  • Velanovich V, Shurafa M. Laparoscopic excision of accessory spleen. Am J Surg. 2000;180(1):62-64. doi:10.1016/s0002-9610(00)00417-7
  • Subramanyam BR, Balthazar EJ, Horii SC. Sonography of the accessory spleen. AJR Am J Roentgenol. 1984;143(1):47-49. doi:10.2214/ajr.143.1.47

Accessory spleen variation

Year 2021, Volume: 46 Issue: 3, 1315 - 1317, 30.09.2021
https://doi.org/10.17826/cumj.911687

Abstract

The spleen, which is located between the fundus gastrica and the diaphragm in the abdominal cavity in the left upper quadrant, resembles a coffee bean, and is surrounded by vascular and lymphatic structures. Multislice Computed Tomography gives very good results in imaging the structures located in the abdominal region. Abdominal Computed Tomography (CT) and laboratory examinations were performed in the patient who came to the patient with the complaint of urinary system infection. In the CT examination, it was observed that the patient had accessory spleen variation, which was not much different in appearance and texture from the primary spleen. In this case, it was aimed to examine the imaging findings of a different type of accessory spleen variation apart from the accessory spleen variational classification in the literature.

References

  • HALPERT B, GYORKEY F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol. 1959;32(2):165-168. doi:10.1093/ajcp/32.2.165
  • Porembka MR, Doyle MBM, Chapman WC. Disorders of the spleen. In: Greer J, Foerster J, Rodgers GM, Paraskevas F, eds. Wintrobe’s Clinical Hematology, Philadelphia: Lippincott Williams&Wilkins; 2009: 1637-1655.
  • Mortelé KJ, Mortelé B, Silverman SG. CT features of the accessory spleen [published correction appears in AJR Am J Roentgenol. 2005 Jan;184(1):348]. AJR Am J Roentgenol. 2004;183(6):1653-1657. doi:10.2214/ajr.183.6.01831653
  • Moore KL, Dalley AF. Clinically oriented anatomy. 4th ed. Philadelphia: Lippincott Williams&Wilkins; 1999: 257.
  • Kim MK, Im CM, Oh SH, Kwon DD, Park K, Ryu SB. Unusual persentation of right-side accessory spleen mimicking a retroperitoneal tumor. İnt J Urol. 2008; Aug;15(8):739-40.
  • Bertolotto M, Gioulis E, Ricci C, Turoldo A, Convertino C. Ultrasound and Doppler features of accessory spleens and splenic grafts. Br J Radiol. 1998;71(846):595-600. doi:10.1259/bjr.71.846.9849381
  • Zeman M, Zembala-Nożyńska E, Sczasny J, Strączyński M, Wideł M. Intrapancreatic accessory spleen imitating a pancreatic neoplasm. Pol Przegl Chir. 2011;83(10):568-570. doi:10.2478/v10035-011-0090-9
  • Coote JM, Eyers PS, Walker A, Wells IP. Intra-abdominal bleeding caused by spontaneous rupture of an accessory spleen: the CT findings. Clin Radiol. 1999;54(10):689-691. doi:10.1016/s0009-9260(99)91093-0
  • Pérez Fontán FJ, Soler R, Santos M, Facio I. Accessory spleen torsion: US, CT and MR findings. Eur Radiol. 2001;11(3):509-512. doi:10.1007/s003300000547
  • Eraklis AJ, Filler RM. Splenectomy in childhood: a review of 1413 cases. J Pediatr Surg. 1972;7(4):382-388. doi:10.1016/0022-3468(72)90006-1
  • Beahrs JR, Stephens DH. Enlarged accessory spleens: CT appearance in postsplenectomy patients. AJR Am J Roentgenol. 1980;135(3):483-486. doi:10.2214/ajr.135.3.483
  • Barsness KA, Reynolds M. The spleen. In: Coran AG, Caldamone A, Adzick NS, Krummel TM, Laberge JM, Shamberger R, eds. Pediatric surgery. 7th ed. Philadelphia: Elsevier Saunders; 2012: 1385–1392.
  • Chin S, Isomoto H, Mizuta Y, Wen CY, Shikuwa S, Kohno S. Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol. 2007;13(11):1752-1754. doi:10.3748/wjg.v13.i11.1752
  • Yildiz AE, Ariyurek MO, Karcaaltincaba M. Splenic anomalies of shape, size, and location: pictorial essay. ScientificWorldJournal. 2013;2013:321810. Published 2013 Apr 21. doi:10.1155/2013/321810
  • Varga I, Galfiova P, Adamkov M, et al. Congenital anomalies of the spleen from an embryological point of view. Med Sci Monit. 2009;15(12):RA269-RA276.
  • Churei H, Inoue H, Nakajo M. Intrapancreatic accessory spleen. Abdom Imaging. 1998; 23:191-193.
  • Sels JPJE, Wouters RMME, Lamers R, Wolffenbuttel BHR. Pitfall of the accessory spleen. The Netherlands Journal of Medicine. 2000; 56:153-158.
  • Velanovich V, Shurafa M. Laparoscopic excision of accessory spleen. Am J Surg. 2000;180(1):62-64. doi:10.1016/s0002-9610(00)00417-7
  • Subramanyam BR, Balthazar EJ, Horii SC. Sonography of the accessory spleen. AJR Am J Roentgenol. 1984;143(1):47-49. doi:10.2214/ajr.143.1.47
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Letter to the Editor
Authors

Elif İpek Çay 0000-0003-2295-2531

Sema Özandaç Polat 0000-0001-7330-4919

Mahmut Oksüzler 0000-0002-3730-5487

Pınar Göker 0000-0002-0015-3010

Publication Date September 30, 2021
Acceptance Date May 19, 2021
Published in Issue Year 2021 Volume: 46 Issue: 3

Cite

MLA Çay, Elif İpek et al. “Aksesuar Dalak Varyasyonu”. Cukurova Medical Journal, vol. 46, no. 3, 2021, pp. 1315-7, doi:10.17826/cumj.911687.